Pediatric Nursing- A Case-Based Approach
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TEST BANK
bb bb
Pediatric Nursing- A Case-Based Approach
bb bb bb bb bb
2nd Edition by Tagher Knapp
bb bb bb bb
bb Chapters 1 - 34 | All Chapters
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,Pediatric Nursing- A Case-Based Approach
bb bb bb bb bb
, Pediatric Nursing- A Case-Based Approach bb bb bb bb bb
Chapter 1: bb b b Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. bb bb bb bb bb bb bb
b. Administer antibiotics as ordered. bb bb bb
c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified oxygen. bb bb bb
ANSWER: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
bb bb bb bb bb bb bb bb bb bb bb bb bb
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
degree angle and the neck slightly extended to maintain an open airway and decrease pressure
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
bb bb bb bb bb bb bb bb bb bb bb bb
tachypneic, fluids are given parenterally to prevent dehydration.
bb bb bb bb bb bb bb bb
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
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virus (RSV). The nurse knows that a child infected with this virus requires what type of
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
isolation?
bb
a. Reverse isolation bb
b. Airborne isolation bb
c. Contact Precautions bb
d. Standard Precautions bb
ANSWER: C
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RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
bb bb bb bb bb bb bb bb bb bb bb bb
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
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room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
gloved hand. Children are placed in a private room or in a room with other children with RSV
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
children need to be protected from exposure to the virus. The virus is not airborne.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
bb bb bb bb bb bb bb bb bb bb bb bb bb
respiration. This suggests what condition?
bb bb bb bb bb
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea bb bb bb
ANSWER: A
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Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
bb bb bb bb bb bb bb bb bb bb bb bb bb
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
bb bb bb bb bb bb bb bb bb bb bb bb
, Pediatric Nursing- A Case-Based Approach bb bb bb bb bb
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
stridor.
bb
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due
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to respiratory syncytial virus (RSV)?
bb bb bb bb bb
a. Activity Intolerance bb
b. Decreased Cardiac Output bb bb
c. Pain, Acute bb
d. Tissue Perfusion, Ineffective (peripheral)
bb bb bb
ANS. A
bb bb
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
bb bb bb bb bb bb bb bb bb bb bb bb
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
bb bb bb bb bb bb bb bb bb bb bb bb bb
affected by this respiratory-disease process.
bb bb bb bb bb
Chapter 2: Asthma bb bb
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment
bb bb bb bb bb bb bb bb bb bb bb bb
finding suggests that the childs condition is worsening?
bb bb bb bb bb bb bb bb
a. Hypoventilation
b. Thirst
c. Bradycardia
bb bb bb bb bb
TEST BANK
bb bb
Pediatric Nursing- A Case-Based Approach
bb bb bb bb bb
2nd Edition by Tagher Knapp
bb bb bb bb
bb Chapters 1 - 34 | All Chapters
bb bb bb bb bb bb
,Pediatric Nursing- A Case-Based Approach
bb bb bb bb bb
, Pediatric Nursing- A Case-Based Approach bb bb bb bb bb
Chapter 1: bb b b Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
bb bb bb bb bb bb bb bb bb
a. Position on the side with neck slightly flexed. bb bb bb bb bb bb bb
b. Administer antibiotics as ordered. bb bb bb
c. Restrict oral and parenteral fluids if tachypneic.
bb bb bb bb bb bb
d. Give cool, humidified oxygen. bb bb bb
ANSWER: D
bb bb
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
bb bb bb bb bb bb bb bb bb bb bb bb bb
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
degree angle and the neck slightly extended to maintain an open airway and decrease pressure
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
on the diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
bb bb bb bb bb bb bb bb bb bb bb bb
tachypneic, fluids are given parenterally to prevent dehydration.
bb bb bb bb bb bb bb bb
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
bb bb bb bb bb bb bb bb bb bb bb
virus (RSV). The nurse knows that a child infected with this virus requires what type of
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
isolation?
bb
a. Reverse isolation bb
b. Airborne isolation bb
c. Contact Precautions bb
d. Standard Precautions bb
ANSWER: C
bb bb
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
bb bb bb bb bb bb bb bb bb bb bb bb
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
bb bb bb bb bb bb bb bb bb bb bb bb bb
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
gloved hand. Children are placed in a private room or in a room with other children with RSV
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
children need to be protected from exposure to the virus. The virus is not airborne.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
bb bb bb bb bb bb bb bb bb bb bb bb bb
respiration. This suggests what condition?
bb bb bb bb bb
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea bb bb bb
ANSWER: A
bb bb
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
bb bb bb bb bb bb bb bb bb bb bb bb bb
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
bb bb bb bb bb bb bb bb bb bb bb bb
, Pediatric Nursing- A Case-Based Approach bb bb bb bb bb
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
stridor.
bb
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due
bb bb bb bb bb bb bb bb bb bb bb bb
to respiratory syncytial virus (RSV)?
bb bb bb bb bb
a. Activity Intolerance bb
b. Decreased Cardiac Output bb bb
c. Pain, Acute bb
d. Tissue Perfusion, Ineffective (peripheral)
bb bb bb
ANS. A
bb bb
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
bb bb bb bb bb bb bb bb bb bb bb bb bb
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected
bb bb bb bb bb bb bb bb bb bb bb bb bb
by this respiratory-disease process.
bb bb bb bb
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
bb bb bb bb bb bb bb bb bb bb bb bb
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
bb bb bb bb bb bb bb bb bb bb bb bb bb
affected by this respiratory-disease process.
bb bb bb bb bb
Chapter 2: Asthma bb bb
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment
bb bb bb bb bb bb bb bb bb bb bb bb
finding suggests that the childs condition is worsening?
bb bb bb bb bb bb bb bb
a. Hypoventilation
b. Thirst
c. Bradycardia
